| NPI | 1316991243 |
|---|---|
| Doing Business As | FLORIDA SHERIFFS YOUTH VILLA |
| Entity Type | Organization |
| Authorized Contact | JOANNE E THOMAS President 386-842-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2011-03-24 |